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Breast Augmentation - Plastic Surgery - USF Health

woman examining herself, breast augmentation, breast reduction

Breast Augmentation Surgery

What is Breast Augmentation Surgery?

Breast Augmentation is also known as augmentation mammaplasty. This procedure involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy. If you are dissatisfied with your breast size, augmentation surgery is a choice to consider. Breast augmentation can increase fullness and projection of your breasts, improve the balance of your figure and enhance your self-image and self-confidence.

Who is a good candidate for Breast Augmentation?

Candidates must be in good health, have no active diseases or serious, pre-existing medical conditions, and must have realistic expectations of the outcome of the surgery. Typically, patients who benefit most from breast augmentation are unhappy with the size or shape of their breasts due to asymmetry or disproportion. You should not have a breast augmentation if you plan to lose a significant amount of weight. Women who are currently pregnant or nursing should not have a breast augmentation.

NOTE: You may not be a candidate for surgery if you smoke, have recently quit smoking, or if you are exposed to second-hand smoke. Primary and secondary smoking decreases blood flow to the body's tissues. This can result in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications depending on the kind of procedure performed. In regards to augmentation, there is an increased risk of delayed wound healing, capsular contracture, and implant infection with the possibility of extrusion.

How is this procedure performed?

Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. They are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.

Options for Breast Implants

Saline implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.

Silicone implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.

The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon's recommendations. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade. The results of breast augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts.